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Old 07-12-2010
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ObGyn Weight Gain, Edema, and Hypetension. What's your treatment?

A 36-year-old G1P0 woman pregnant with twins presents to her obstetrician for her routine 32-week appointment. She has gained 5.4
kg (12 lb) in the past 2 weeks. When questioned about her weight gain, she states that she has had headaches and some blurred vision
for the past 2 weeks, which she thinks is secondary to dehydration. To circumvent this she has been drinking a lot of water, which she
claims “is not really working, and is making me swell, even my hands!” She also has had some epigastric pain for the past 2 weeks, which she attributes to “all the water I’ve been drinking.” Her vitals are blood pressure 142/90 mm Hg, pulse 105/min, and respiratory rate 18/min. Her urine reveals 1+ glucosuria and 4+ proteinuria. What is the next best step in management?
(A) Administer magnesium sulfate only
(B) Expectant management
(C) Magnesium sulfate therapy, steroids, and induction of labor
(D) Oral antihypertensive therapy
(E) Platelet transfusion
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Old 07-12-2010
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c treatment of preeclempsia
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Old 07-12-2010
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Pre-eclampsia,oral Methyl dopa and if needed mgso4 also along with methyl dopa if in severe pre-eclampsia
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Old 07-12-2010
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i'll want to go with oral antihypertensives
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Old 07-14-2010
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good quest.
it is acase of severe pre-eclampsia so main treatment is ( mgso4 + termination of pregnancy) so i will choose c
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Old 07-16-2010
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Idea!

Hm, good question I will go with option C.Picture of preeclimpsia
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